create jquery form

Completed Posted Oct 19, 2012 Paid on delivery
Completed Paid on delivery

i want this simple 5 part form, but with some changes : [url removed, login to view]

changes i want :

- part 1 use checkbox instead of radio. Add in another option named "Others"

- part 2 use slider max 10 units [url removed, login to view]

note:

- part 3 is using postal codes from google maps singapore

- part 5 will send confirmation emails to admin & customer. Both emails must contain full booking details.

- yr form must function same like [url removed, login to view] , pls make sure all the validation is kept the same as well.

this should be completable in 2 hours for any expert. MAX payout 30 USD

Last part of form is the date time. Use a jquery datetimepicker http://trentrichardson.com/examples/timepicker/#basic_examples

CSS HTML jQuery / Prototype PHP

Project ID: #2579737

About the project

6 proposals Remote project Active Oct 19, 2012

Awarded to:

samkaranja

Ready for service

$30 USD in 1 day
(66 Reviews)
5.2

6 freelancers are bidding on average $41 for this job

imranhossain

Dear sir, Greetings!!!Certified guys is here according to your requirement. We understand your requirement clearly. Please check your private message for bid details. Thank for your consideration. Regards

$50 USD in 2 days
(5 Reviews)
3.2
tonyshaeeb

Please check PMB.

$55 USD in 1 day
(8 Reviews)
3.2
vickymudgal88

Hi, ready to start immediately :)

$30 USD in 1 day
(3 Reviews)
2.5
expertssphp

Lets get started........

$50 USD in 1 day
(0 Reviews)
0.0
roniavishek

I have 3+ yrs of exp in jquery. I can do it. Thanks

$30 USD in 0 days
(0 Reviews)
0.0